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Journal of Pediatric Psychology Advance Access published online on July 29, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn078
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Published by Oxford University Press on behalf of the Society of Pediatric Psychology 2008

Assessment of an Illness-specific Dimension of Self-esteem in Youths with Type 1 Diabetes

Stefan Schneider, Dipl Psych1, Ronald J. Iannotti, PhD1, Tonja R. Nansel, PhD1, Denise L. Haynie, PhD, MPH1, Douglas O. Sobel, MD2 and Bruce Simons-Morton, EdD, MPH1

1Prevention Research Branch, Division of Statistics, Epidemiology and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, and 2Department of Pediatrics, Georgetown University School of Medicine

All correspondence concerning this article should be addressed to Stefan Schneider, Department of Psychiatry, Stony Brook University, Putnam Hall, South Campus, Stony Brook, NY 11794-8790, USA. E-mail: stefan.schneider{at}sunysb.edu


  Abstract

Objective The initial validation of a brief assessment of a diabetes-specific self-esteem dimension in adolescents with type 1 diabetes. Methods Youths with type 1 diabetes (n = 87) aged 10–16 years were administered the multidimensional Self-Esteem Questionnaire (SEQ) and a newly designed assessment of diabetes-specific self-esteem (DSSE). Their parents completed parallel forms. Adherence to the diabetes regimen and glycemic control were also assessed. Results In factor analysis, DSSE items formed a distinct dimension of self-esteem in addition to the SEQ dimensions. This factor uniquely contributed to differences in youths’ global self-esteem. Significant associations with adherence and glycemic control suggested its concurrent validity. Agreement between youth- and parent-report DSSE forms supported inter-rater reliability. Conclusions The findings provide preliminary support for recognizing the importance of a DSSE dimension in adolescents’ adjustment to diabetes, and for the reliability and validity of the proposed assessment strategy.

Key words: adaptation; adolescence; measurement; self-esteem; type 1 diabetes.

Received February 21, 2008; revision received June 19, 2008; accepted July 3, 2008


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